<%@ taglib prefix="c" uri="http://java.sun.com/jsp/jstl/core" %>
<%--
  Created by IntelliJ IDEA.
  User: JMS
  Date: 2020/12/21
  Time: 16:58
  To change this template use File | Settings | File Templates.
--%>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<html>
<head>
    <title>Title</title>
    <!-- Required meta tags -->
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">

    <!-- Bootstrap CSS -->
    <link rel="stylesheet" href="../../static/bootstrap/css/bootstrap.min.css">
    <link href="https://s1.wenjuan.com/static/build/css/form_main.css?v=353eb70501d8aa769c028d932bf6f9f3"
          rel="stylesheet">
    <!-- <link href="../static/css/form_main.css"> -->
    <style>
        .Zebra_DatePicker {

            margin-left: -110px;
        }

        @media (prefers-reduced-motion: reduce) {
            .btns {
                transition: none;
            }
        }

        .btns:hover {
            color: #212529;
            text-decoration: none;
        }

        .btns {
            display: inline-block;
            font-weight: 400;
            color: #212529;
            text-align: center;
            vertical-align: middle;
            -webkit-user-select: none;
            -moz-user-select: none;
            -ms-user-select: none;
            user-select: none;
            background-color: transparent;
            border: 1px solid transparent;
            padding: 0.375rem 0.75rem;
            font-size: 1rem;
            line-height: 1.5;
            border-radius: 0.25rem;
            transition: color 0.15s ease-in-out, background-color 0.15s ease-in-out, border-color 0.15s ease-in-out, box-shadow 0.15s ease-in-out;
            margin: 0 auto;
        }

        .btns-primary {
            color: #fff;
            background-color: #007bff;
            border-color: #007bff;
        }

        .btns-primary:hover {
            color: #fff;
            background-color: #0069d9;
            border-color: #0062cc;
        }
    </style>
    <script src="../static/bootstrap/jquery-3.5.1.min.js"></script>

    <script language="JavaScript" type="text/javascript">
        function Validate() {
            if ($("#name").val() == "") {
                document.getElementById("name").placeholder = "此项为必填项";
                document.getElementById("name").style = "border-color: red";
                $("#name").focus();
                return false;
            }
            if ($("#number").val() == "") {
                document.getElementById("number").placeholder = "此项为必填项";
                document.getElementById("number").style = "border-color: red";
                $("#number").focus();
                return false;
            }
            if ($("#department").val() == "") {
                document.getElementById("department").placeholder = "此项为必填项";
                document.getElementById("department").style = "border-color: red";
                $("#department").focus();
                return false;
            }
            if ($("#phoneNumber").val() == "") {
                document.getElementById("phoneNumber").placeholder = "此项为必填项";
                document.getElementById("phoneNumber").style = "border-color: red";
                $("#phoneNumber").focus();
                return false;
            }
            if ($("#ID").val() == "") {
                document.getElementById("ID").placeholder = "此项为必填项";
                document.getElementById("ID").style = "border-color: red";
                $("#ID").focus();
                return false;
            }
            if ($("#bankCard").val() == "") {
                document.getElementById("bankCard").placeholder = "此项为必填项";
                document.getElementById("bankCard").style = "border-color: red";
                $("#bankCard").focus();
                return false;
            }
            if ($("#reason").val() == "") {
                document.getElementById("reason").placeholder = "此项为必填项";
                document.getElementById("reason").style = "border-color: red";
                $("#reason").focus();
                return false;
            }
            $("#testform").submit();
        }
    </script>
</head>

<body class="container">
<div class="text-center w-100">
    <h3 style="margin-left: auto;margin-right: auto;">员工宿舍申请表</h3>
</div>
<form action="/apply" id="testform" method="post" class="">
    <div class="form-row">
        <div class="form-group col-md-4">
            <label for="name">姓名</label>
            <input type="text" class="form-control" id="name" name="applicant"
                   value="${sessionScope.user.username}" readonly AUTOCOMPLETE="OFF">
        </div>
        <div class="form-group col-md-4">
            <label for="number">员工号</label>
            <input type="text" class="form-control" id="number" name="userId"
                   value="${sessionScope.user.userId}" readonly>
        </div>
        <div class="form-group col-md-4">
            <label for="department">所在部门</label>
            <input type="text" class="form-control" id="department" name="department" placeholder="部门">
        </div>
    </div>

    <div class="form-row">
        <div class="form-group col-md-6">
            <label for="phoneNumber">手机号码</label>
            <input type="text" class="form-control" id="phoneNumber" name="phoneNumber"
                   value="${sessionScope.user.phoneNumber}" readonly>
        </div>
        <div class="form-group col-md-6">
            <label for="workPhone">工作电话</label>
            <input type="text" class="form-control" id="workPhone" name="workPhone" placeholder="工作电话">
        </div>
    </div>

    <div class="form-row">
        <div class="form-group col-md-6">
            <label for="ID">身份证号</label>
            <input type="text" class="form-control" id="ID" name="IDCard">
        </div>
        <div class="form-group col-md-6">
            <label for="bankCard">银行卡号</label>
            <input type="text" class="form-control" id="bankCard" name="bankCard">
        </div>
    </div>

    <div class="form-row">
        <div class="form-group col-md-12 mt-0" id="question_5fddf6c24667e8026acd1250">
            <label>地址：</label>
            <div class="matrix w-100">
                <div class="selectTransverse"><select id="5fddf6c24667e8026acd1251" class="option" name="province"
                                                      rel="5fddf6c24667e8026acd1250">
                    <option value="">请选择省份</option>
                    <option value="北京市">北京市</option>
                    <option value="天津市">天津市</option>
                    <option value="河北省">河北省</option>
                    <option value="山西省">山西省</option>
                    <option value="内蒙古自治区">内蒙古自治区</option>
                    <option value="辽宁省">辽宁省</option>
                    <option value="吉林省">吉林省</option>
                    <option value="黑龙江省">黑龙江省</option>
                    <option value="上海市">上海市</option>
                    <option value="江苏省">江苏省</option>
                    <option value="浙江省">浙江省</option>
                    <option value="安徽省">安徽省</option>
                    <option value="福建省">福建省</option>
                    <option value="江西省">江西省</option>
                    <option value="山东省">山东省</option>
                    <option value="河南省">河南省</option>
                    <option value="湖北省">湖北省</option>
                    <option value="湖南省">湖南省</option>
                    <option value="广东省">广东省</option>
                    <option value="广西壮族自治区">广西壮族自治区</option>
                    <option value="海南省">海南省</option>
                    <option value="重庆市">重庆市</option>
                    <option value="四川省">四川省</option>
                    <option value="贵州省">贵州省</option>
                    <option value="云南省">云南省</option>
                    <option value="西藏自治区">西藏自治区</option>
                    <option value="陕西省">陕西省</option>
                    <option value="甘肃省">甘肃省</option>
                    <option value="青海省">青海省</option>
                    <option value="宁夏回族自治区">宁夏回族自治区</option>
                    <option value="新疆维吾尔自治区">新疆维吾尔自治区</option>
                    <option value="香港">香港</option>
                    <option value="澳门">澳门</option>
                    <option value="台湾">台湾</option>
                    <option value="海外">海外</option>
                    <option value="北京市">北京市</option>
                    <option value="天津市">天津市</option>
                    <option value="河北省">河北省</option>
                    <option value="山西省">山西省</option>
                    <option value="内蒙古自治区">内蒙古自治区</option>
                    <option value="辽宁省">辽宁省</option>
                    <option value="吉林省">吉林省</option>
                    <option value="黑龙江省">黑龙江省</option>
                    <option value="上海市">上海市</option>
                    <option value="江苏省">江苏省</option>
                    <option value="浙江省">浙江省</option>
                    <option value="安徽省">安徽省</option>
                    <option value="福建省">福建省</option>
                    <option value="江西省">江西省</option>
                    <option value="山东省">山东省</option>
                    <option value="河南省">河南省</option>
                    <option value="湖北省">湖北省</option>
                    <option value="湖南省">湖南省</option>
                    <option value="广东省">广东省</option>
                    <option value="广西壮族自治区">广西壮族自治区</option>
                    <option value="海南省">海南省</option>
                    <option value="重庆市">重庆市</option>
                    <option value="四川省">四川省</option>
                    <option value="贵州省">贵州省</option>
                    <option value="云南省">云南省</option>
                    <option value="西藏自治区">西藏自治区</option>
                    <option value="陕西省">陕西省</option>
                    <option value="甘肃省">甘肃省</option>
                    <option value="青海省">青海省</option>
                    <option value="宁夏回族自治区">宁夏回族自治区</option>
                    <option value="新疆维吾尔自治区">新疆维吾尔自治区</option>
                    <option value="香港">香港</option>
                    <option value="澳门">澳门</option>
                    <option value="台湾">台湾</option>
                    <option value="海外">海外</option>
                </select><select id="5fddf6c24667e8026acd1252" class="option" rel="5fddf6c24667e8026acd1250"
                                 name="city">
                    <option value="">请选择城市</option>
                </select><select id="5fddf6c24667e8026acd1253" class="option" rel="5fddf6c24667e8026acd1250"
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                    <option value="">请选择区/县</option>
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                                    placeholder="详细地址" type="text"></div>
            </div>
        </div>
        <div class="form-group col-md-12">
            <label for="firstAddress">原住房情况：</label>
            <input type="text" class="form-control" id="firstAddress" name="firstAddress">
        </div>
    </div>

    <div class="form-row">
        <div class="form-group col-md-2">
            <%
                String building = request.getParameter("building");
                int number = Integer.parseInt(building);
                request.setAttribute("number", number);
            %>
            <label>楼栋：</label><br>
            <select name="building" id="building">
                <option value="1" <c:if test="${number==1}">selected="selected"</c:if>>1</option>
                <option value="2" <c:if test="${number==2}">selected="selected"</c:if>>2</option>
                <option value="3" <c:if test="${number==3}">selected="selected"</c:if>>3</option>
                <option value="4" <c:if test="${number==4}">selected="selected"</c:if>>4</option>
                <option value="5" <c:if test="${number==5}">selected="selected"</c:if>>5</option>
                <option value="6" <c:if test="${number==6}">selected="selected"</c:if>>6</option>
            </select>
        </div>
        <div class="form-group col-md-2">
            <label>楼层：</label><br>
            <select name="floor" id="floor">
                <option value="1">1</option>
                <option value="2">2</option>
                <option value="3">3</option>
                <option value="4">4</option>
                <option value="5">5</option>
                <option value="6">6</option>
            </select>
        </div>
        <div class="form-group col-md-2">
            <label>房间：</label><br>
            <select name="room" id="room">
                <option value="1">1</option>
                <option value="2">2</option>
                <option value="3">3</option>
                <option value="4">4</option>
                <option value="5">5</option>
                <option value="6">6</option>
            </select>
        </div>
        <div class="col-md-2">
            <p>性别</p>
            <select name="sex" id="sex">
                <option value="男">男</option>
                <option value="女">女</option>
            </select>
        </div>
        <div class="col-md-2">
            <p>学历</p>
            <div class="form-check form-check-inline">
                <select name="education">
                    <option value="小学及以下">小学及以下</option>
                    <option value="初中">初中</option>
                    <option value="高中/中专/技校">高中/中专/技校</option>
                    <option value="大专">大专</option>
                    <option value="本科">本科</option>
                    <option value="硕士及以上">硕士及以上</option>
                </select>
            </div>
        </div>
        <div class="col-md-4">
            <p>开始时间</p>
            <input id="date" type="text" class="option" readonly="readonly"
                   name="date">
            <button type="button" class="Zebra_DatePicker_Icon Zebra_DatePicker_Icon_Inside"
                    style="left: -21px; top:0px;">Pick a
                date
            </button>

        </div>
        <div class="col-md-4">
            <p>到期时间</p>
            <input id="expireDate" type="date" name="expireDate">
        </div>

    </div>

    <div class="form-row">
        <div class="form-group col-md-6">
            申请原因：<br/>
            <textarea rows="8" style="width: 100%;" class="form-control" id="reason" name="reason"></textarea>
        </div>
        <div class="form-group col-md-6">
            备注：<br/>
            <textarea rows="8" style="width: 100%;" class="form-control" id="remarks" name="remarks"></textarea>
        </div>
    </div>

    <div class="mr-auto ml-auto">
        <button type="button" id="btn" class="mr-auto ml-auto btns btns-primary" onclick="Validate()">提交</button>
    </div>
</form>
</body>
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                    "title": "\u9009\u98791",
                    "cid": "A1",
                    "is_open": false,
                    "_id": {"$oid": "5fddf903df157a16ec5d2c0d"},
                    "custom_attr": {"text_row": "1", "text_col": "20"},
                    "question_id": "5fddf903df157a16ec5d2c0c"
                }],
                "jumpconstraint_id_list2": [],
                "option_id_list": ["5fddf903df157a16ec5d2c0d"],
                "question_type": 6,
                "displayconstraint_id_list2": [],
                "_id": {"$oid": "5fddf903df157a16ec5d2c0c"},
                "displayconstraint_id_list": [],
                "custom_attr": {"blank_type": "single"},
                "extra_option_id_list": []
            }, {
                "extra_option_list": [],
                "has_open_option": false,
                "project_id": "5fddf2dd92beb570fee25095",
                "jumpconstraint_id_list": [],
                "related_question_list": [],
                "cid": "Q29",
                "questionpage_id": "5fddf2dd92beb570fee25096",
                "title": "\u94fa\u4f4d\u540d\u79f0",
                "updated": {"$date": 1608411600405},
                "matrixrow_list": [],
                "matrixrow_id_list": [],
                "option_list": [{
                    "updated": {"$date": 1608411600465},
                    "title": "\u9009\u98791",
                    "cid": "A1",
                    "is_open": false,
                    "_id": {"$oid": "5fddf912df157a1a813093f5"},
                    "custom_attr": {"text_row": "1", "text_col": "20"},
                    "question_id": "5fddf912df157a1a813093f4"
                }],
                "jumpconstraint_id_list2": [],
                "option_id_list": ["5fddf912df157a1a813093f5"],
                "question_type": 6,
                "displayconstraint_id_list2": [],
                "_id": {"$oid": "5fddf912df157a1a813093f4"},
                "displayconstraint_id_list": [],
                "custom_attr": {"blank_type": "single"},
                "extra_option_id_list": []
            }],
            "project_id": "5fddf2dd92beb570fee25095",
            "custom_attr": {}
        }],
        "version": 1,
        "custom_attr": {
            "survey_share_pic_url": "/static/images/rspd_share_wenjuan.png",
            "create_client": "pc",
            "panelsite": "",
            "be_audited_at": {"$date": 1591289059860},
            "be_audited_times": 1,
            "theme": "darkblue",
            "has_updated_seq": 1,
            "scrollbar": "on",
            "disable_review_result": 0,
            "suspected_words": 3,
            "base_appear_id": "5bcf06b5d3578054358d4e39",
            "screenout_desc": "\u62b1\u6b49\uff0c\u60a8\u4e0d\u592a\u9002\u5408\u586b\u5199\u672c\u8868\u5355\uff0c\u8c22\u8c22\u60a8\u7684\u53c2\u4e0e\uff01"
        },
        "end_desc": "<p style=\"text-align: center;\"><span style=\"color:rgb(102, 102, 102)\"><span style=\"font-size:16px\"><span style=\"font-family:\u5fae\u8f6f\u96c5\u9ed1\">\u8c22\u8c22\u4f60\u7684\u7533\u8bf7\uff0c\u5982\u679c\u5408\u9002\uff0c\u6211\u4eec\u4eba\u529b\u8d44\u6e90\u7ecf\u7406\u4f1a\u901a\u77e5\u4f60\u9762\u8bd5</span></span></span></p>",
        "status": 1,
        "updated": {"$date": 1608411600209},
        "copy_from_pid": "536b655b6db0e713983d2ca7",
        "scene_type": "apply",
        "first_create_for_member": false,
        "question_count": 29,
        "is_shared": false,
        "created": {"$date": 1608409949430},
        "title": "<p style=\"text-align:center\">\u5458\u5de5\u5bbf\u820d\u7533\u8bf7\u8868</p>",
        "question_relation_list": [],
        "creator_id": "5fddf2a53631f2fb8f11c924",
        "_id": {"$oid": "5fddf2dd92beb570fee25095"},
        "is_hdgc": false
    };
    // 全局数据对象
    var globalData = {
        platform: 'pc',
        sceneType: 'form',
        surveyUrlForWxPopup: 'https%3A%2F%2Fwww.wenjuan.com%2Fs%2FnaMRb23%2F', // 用于只能通过微信回答弹窗里二维码的生成
        createClient: "pc", // 账户创建于哪个客户端
        isUseContinuableAnswer: false,
        memberType: '' ? 3 : 2,
        projectId: '5fddf2dd92beb570fee25095',
        shortId: 'naMRb23',
        wjTitleTxt: '员工宿舍申请表',
        creatorId: '5fddf2a53631f2fb8f11c924',
        registerChannel: 'baidu-ss',
        adc_time: '1608382834',
        adc_sign: '2fc3f5766d5e611a0c3b67f5e643c828',
        dc_flow_rate: '100',
        dc_label_domain: 'https://label.wenjuan.com',

    };
    var test_mode = window.location.href.indexOf("test=1") != -1 ? true : false;
    // 是否设置质量控制的无效答卷规则
    var qualityControl = "off";
    var mobile_auth_queston_status = 2;
    var draw_ret;
    // 获取外观设置
    var appearanceData = {
        "_id": {"$oid": "5fddf2dd92beb570fee25094"},
        "created": 1608381149,
        "theme_colors": [],
        "theme_styles": [],
        "p_types": [],
        "PC": {
            "style": {"btnsColor": "#235960"},
            "cover": {"coverSetting": "image", "titleShowOnCover": 1},
            "header": {
                "headerImgUrl": {"url": "http://cdn1.wenjuan.com/appear-PC-\u5e94\u8058.png"},
                "type": "singleImg"
            },
            "background": {"bgImageUrl": "", "wjBgColor": "", "bgRepeat": "", "bgOpacity": 1.0, "bgColor": ""},
            "submit_btn": {"submitBtnText": "\u63d0\u4ea4"},
            "logo": {"logoPosition": "left", "logoUrl": ""},
            "hidden": {"hideTitle": 0, "hideHeader": 0, "hideQuestionSeq": 1, "hideWelcome": 0},
            "font": {
                "quesitonFontStyle": {"fontBold": "bold", "fontSize": "16"},
                "welcomeFontStyle": {"fontSize": "16"},
                "headerFontStyle": {"fontSize": "16"},
                "endDescFontStyle": {"fontSize": "18"},
                "topicFontStyle": {"fontBold": "bold", "fontSize": "18"},
                "optionFontStyle": {"fontSize": "14"}
            }
        },
        "Phone": {
            "style": {"btnsColor": "#235960"},
            "cover": {"coverImgUrl": "", "coverSetting": "image", "beginBtnStyle": "begin_btn", "titleShowOnCover": 1},
            "header": {
                "headerImgUrl": {"url": "http://cdn1.wenjuan.com/appear-M-\u5e94\u8058.png"},
                "type": "singleImg"
            },
            "background": {"bgCorlor": ""},
            "submit_btn": {"submitBtnText": "\u63d0\u4ea4"},
            "logo": {"logoPosition": "left", "logoUrl": ""},
            "hidden": {"hideTitle": 0, "hideHeader": 0, "hideQuestionSeq": 1, "hideWelcome": 0},
            "font": {
                "quesitonFontStyle": {"fontBold": "bold", "fontSize": "18"},
                "welcomeFontStyle": {"fontSize": "18"},
                "headerFontStyle": {"fontSize": "16"},
                "endDescFontStyle": {"fontSize": "16"},
                "topicFontStyle": {"fontBold": "bold", "fontSize": "24"},
                "optionFontStyle": {"fontSize": "16"}
            }
        },
        "language": "zh_CN"
    };
    /*
    * 广告平台对接
    */
    var ad_mtc = "";
    var ad_token = "d2VuanVhbiAxNjA4MzgxOTM2MjkzIDIzYWQ2NjdiZjIzNDFlZWY1ZjQ5OWI3Y2QzNDYwOTNlMjc5YjE1OTc=";
    var ad_ua = "Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/86.0.4240.75 Safari/537.36";
    var ad_remote_ip = "59.52.221.136";
    // 是否有题目缓存
    var use_cache = '1';
    // 缓存加盐
    var cache_salt = '0';
    // 是否从答题广场过来的问卷
    var isFromAnswerSquare = 'False';
    // 七牛域名
    var qiniu_host = 'https://static.wenjuan.pub';
    var super_account = "None";
    // 隐私协议
    var privacyPolicy = "1";
    var star_off = "https://s1.wenjuan.com/static/images/lv_pt_off.png?v=e6dcac8ef8e5d94933092288acebf4a3";
    var star_on = "https://s1.wenjuan.com/static/images/lv_pt_on.png?v=79f463a848f3bfd8038c9962a68d437b";
    var timestr = "2020-12-19 21:00:34";
    var is_iframe = "";
    var uuid = "2265a9337c7d1f6cc3ed5b3ec04b638f";
    var ev = "1";
    var vote_count = {};
    var vote_unit = "票";
    var vote_change = false;
    var is_ios = false;
    var show_vcode = false;
    var from_idy = false;
    // var from_idy = true;
    var verify_types = null;

    var estimate_map = {};
    var rand_int = 43;
    var s_func_id = "25";
    var vvv = "df56460670d7c4f9e72b7ae30afdbe77";
    var func_name = "SMLYFcZu";
    // eval(eval("s1(10)+s1(102)+s1(117)+s1(110)+s1(99)+s1(116)+s1(105)+s1(111)+s1(110)+s1(32)+s1(83)+s1(77)+s1(76)+s1(89)+s1(70)+s1(99)+s1(90)+s1(117)+s1(40)+s1(112)+s1(56)+s1(50)+s1(53)+s1(41)+s1(32)+s1(123)+s1(10)+s1(32)+s1(32)+s1(32)+s1(32)+s1(114)+s1(101)+s1(116)+s1(117)+s1(114)+s1(110)+s1(32)+s1(52)+s1(45)+s1(51)+s1(45)+s1(57)+s1(43)+s1(50)+s1(45)+s1(56)+s1(43)+s1(49)+s1(48)+s1(42)+s1(53)+s1(43)+s1(112)+s1(56)+s1(50)+s1(53)+s1(59)+s1(10)+s1(125)+s1(10)"));

    var luck_draw_ad_switch = "None";
    var has_lucky_money = '';
    var hide_logo = 'False';
    var site_rspd_url = 'http://www.wenjuan.com';
    var luck_money_rspd_time = +'';
    var luck_draw_rspd_time = +'';
    window.beginTime = '2020/12/19 21:00:34';
</script>


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<!-- 滚动条插件 -->

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        src="https://s1.wenjuan.com/static/build/js/vendor.js?v=fae05567d65548e667ab972ac17fed05"></script>
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